| NPI | 1093946139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW74959) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225400000X Rehabilitation Practitioner (Licence: CA b9907603) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2022-01-12 |